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NPI Code Detail

MEDICARE: SIDNEY S WU M.D.

MEDICARE:   SIDNEY S WU  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA78985CA
2207R00000XInternal Medicine PhysicianA78985CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972526457
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIDNEY S WU M.D.
Provider Business Mailing Address
First Line : 8041 NEWMAN AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-7034
Country : US
Telephone Number : 888-499-9303
Fax Number : 714-842-4359
Provider Business Practice Location Address
First Line : 8041 NEWMAN AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-7034
Country : US
Telephone Number : 888-499-9303
Fax Number : 714-842-4359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 03/30/2016

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Directions to “ SIDNEY S WU M.D.” Practice Location

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